Evidence map›Paper›PMID 36888836›Full record

ReviewBrazilian dental journal

Mechanism of action of Bioactive Endodontic Materials.

Carlos Estrela, Luciano Tavares Angelo Cintra, Marco Antônio Hungaro Duarte, Giampiero Rossi-Fedele, Giulio Gavini, Manoel Damião Sousa-Neto

Open access · goldFull text readReview
In one paragraph

Review in Brazilian dental journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Antibacterial activity of biodentine againstFrontiers in dental medicine · 2024
    Pooled it
  3. Article
  4. Article
  5. Comparative Evaluation of Polymeric and Metal Ultrasonic Tips for the Removal of Calcium Hydroxide From Root Canals.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Carlos EstrelaSchool of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil.ORCID http://orcid.org/0000-0002-1488-0366
Luciano Tavares Angelo CintraSchool of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0003-2348-7846
Marco Antônio Hungaro DuarteSchool of Dentistry, Bauru, SP, University of São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-3051-737X
Giampiero Rossi-FedeleAdelaide Dental School, University of Adelaide, Adelaide, SA, Australia.ORCID http://orcid.org/0000-0002-8287-1226
Giulio GaviniSchool of Dentistry, University of São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-3254-2504
Manoel Damião Sousa-NetoSchool of Dentistry, University of São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0002-7696-7600
Universidade de São Paulo · BRThe University of Adelaide · AUUniversidade Estadual Paulista (Unesp) · BRUniversidade Federal de Goiás · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A continuous search for bioactive materials capable of supporting the replacement of damaged pulp tissue, with effective sealing potential and biocompatibility, has represented the attention of studies over the last decades. This study involves a narrative review of the literature developed by searching representative research in PUBMED/MEDLINE and searches in textbooks associated with the mechanism of action of bioactive materials (calcium hydroxide, mineral trioxide aggregate (MTA), and calcium silicate cements). The reflective analysis of the particularities of the chemical elements of these materials, considering the tissue and antibacterial mechanism of action, allows a better understanding of the characteristics and similarities in their tissue responses. Calcium hydroxide paste remains the antibacterial substance of choice as intracanal dressing for the treatment of root canal system infections. Calcium silicate cements, including MTA, show a favorable biological response with the stimulation of mineralized tissue deposition in sealed areas when in contact with connective tissue. This is due to the similarity between the chemical elements, especially ionic dissociation, the potential stimulation of enzymes in tissues, and the contribution towards an alkaline environment due to the pH of these materials. The behavior of bioactive materials, especially MTA and the new calcium silicate cements in the biological sealing activity, has been shown to be effective. Contemporary endodontics has access to bioactive materials with similar properties, which can stimulate a biological seal in lateral and furcation root perforations, root-end fillings and root fillings, pulp capping, pulpotomy, apexification, and regenerative endodontic procedures, in addition to other clinical conditions.

Indexed as

Calcium HydroxideRoot Canal Filling MaterialsAluminum CompoundsAnti-Bacterial AgentsCalcium CompoundsDental CementsDrug CombinationsOxidesSilicatesAluminum CompoundsAnti-Bacterial AgentsCalcium CompoundsCalcium Hydroxidecalcium silicateDental CementsDrug CombinationsOxidesRoot Canal Filling MaterialsSilicates

Identifiers

PMID36888836
PMCPMC10027099
OpenAlexW4323320971

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read17
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.